社会剥夺与成人钝性胸部创伤：一项回顾性研究。
Social deprivation and adult blunt chest trauma: A retrospective study.
作者信息
Battle Ceri, Hutchings Hayley, Bouamra Omar, Evans Phillip A
机构信息
NISCHR Haemostasis Biomedical Research Unit, Morriston Hospital, Swansea, UK.
College of Medicine, Swansea University, Swansea, UK.
出版信息
J Intensive Care Soc. 2015 Feb;16(1):18-23. doi: 10.1177/1751143714552989. Epub 2014 Dec 9.
INTRODUCTION
The relationship between socioeconomic status and various components of health is well established. Research has also highlighted that social deprivation can affect patterns of injury and outcome after trauma. The interaction between outcomes following blunt chest trauma and socioeconomic status has received limited attention in trauma research. The aim of this study was to investigate the relationship between socioeconomic factors, mechanisms of injury and outcomes following blunt chest trauma using deprivation measures calculated on the basis of domicile postcodes.
METHODS
A retrospective study design was used in order to examine the medical notes of all blunt chest wall trauma patients who presented to the ED of a large regional trauma centre in South West Wales in 2012 and 2013. Baseline characteristics were presented as median and interquartile range or numbers and percentages. Differences between the baseline characteristics were analysed using Mann-Whitney U test and Fisher's exact test. Odds ratios and 95% confidence intervals were presented from the univariable analysis. Multivariable logistic regression analysis was used to identify significant predictors for the development of complications.
RESULTS
Patients in the 'more deprived' group were more likely to be the victims of assault ( < 0.001) and were more likely to have an unplanned re-attendance at the Emergency Department than the patients in the 'less deprived' group ( < 0.001). On multivariable analysis, social deprivation was not a risk factor for the development of complications, but it was a significant risk factor for prolonged length of stay ( < 0.05).
CONCLUSIONS
This is the first study in which social deprivation has been investigated as a risk factor for complications following isolated blunt chest wall trauma. Residing in a 'more deprived' area in South West Wales is not associated with the development of complications following isolated blunt chest wall trauma.
引言
社会经济地位与健康的各个组成部分之间的关系已得到充分证实。研究还强调，社会剥夺会影响创伤后的损伤模式和预后。钝性胸部创伤后的预后与社会经济地位之间的相互作用在创伤研究中受到的关注有限。本研究的目的是利用基于住所邮政编码计算的剥夺指标，调查社会经济因素、损伤机制与钝性胸部创伤后预后之间的关系。
方法
采用回顾性研究设计，以检查2012年和2013年在威尔士西南部一家大型地区创伤中心急诊科就诊的所有钝性胸壁创伤患者的病历。基线特征以中位数和四分位间距或数量及百分比表示。使用曼-惠特尼U检验和费舍尔精确检验分析基线特征之间的差异。单变量分析给出比值比和95%置信区间。多变量逻辑回归分析用于确定并发症发生的显著预测因素。
结果
“更贫困”组的患者比“较不贫困”组的患者更有可能成为袭击的受害者（<0.001），并且更有可能非计划地再次前往急诊科就诊（<0.001）。多变量分析显示，社会剥夺不是并发症发生的危险因素，但它是住院时间延长的显著危险因素（<0.05）。
结论
这是第一项将社会剥夺作为孤立性钝性胸壁创伤后并发症危险因素进行调查的研究。居住在威尔士西南部“更贫困”地区与孤立性钝性胸壁创伤后并发症的发生无关。
Zotero 插件